宫腔球囊压迫联合益母草注射液对产后宫缩乏力性出血患者凝血功能指标及子宫动脉血流指标的影响  

Effects of intrauterine balloon compression combined with leonurus heterophyllus injection on coagulation function indexes and uterine artery blood flow indexes in patients with postpartum hemorrhage caused by uterine inertia

作　　者：宋秀英[1] SONG Xiuying(Xi'an Gaoxin Hospital,Xi'an 710000,China)

机构地区：[1]西安高新医院,陕西西安710000

出　　处：《临床医学研究与实践》2021年第31期147-149,共3页Clinical Research and Practice

摘　　要：目的探讨宫腔球囊压迫联合益母草注射液治疗产后宫缩乏力性出血患者的效果。方法选取2018年4月至2020年6月收治的92例产后宫缩乏力性出血患者作为研究对象,根据止血方法不同分为对照组和观察组,各46例。两组均给予常规对症治疗,对照组给予宫腔球囊压迫,观察组在对照组基础上联合益母草注射液。比较两组的治疗效果。结果观察组产后24、48、72 h的出血量少于对照组(P<0.05)。观察组的止血成功率高于对照组,再发出血率、子宫复旧不全率、子宫切除率低于对照组(P<0.05)。治疗后,观察组的PT、APTT、TT短于对照组,FIB水平高于对照组(P<0.05)。治疗后,观察组的子宫动脉血流RI大于对照组,PI小于对照组(P<0.05)。结论宫腔球囊压迫联合益母草注射液可有效控制产后宫缩乏力性出血患者的出血量,提高止血成功率,改善凝血功能指标及子宫动脉血流指标。Objective To investigate the effects of intrauterine balloon compression combined with leonurus heterophyllus injection in the treatment of postpartum hemorrhage caused by uterine inertia.Methods A total of 92 patients with postpartum hemorrhage caused by uterine inertia treated from April 2018 to June 2020 were selected as the research objects.According to the different hemostatic methods,the patients were divided into control group and observation group,with 46 cases in each group.Both groups were given routine symptomatic treatment,the control group was given intrauterine balloon compression,and the observation group was combined with leonurus heterophyllus injection on the basis of the control group.The therapeutic effects of the two groups were compared.Results The amount of hemorrhage at postpartum 24,48 and 72 h in the observation group were less than that in the control group(P<0.05).The success rate of hemostasis in the observation group was higher than that in the control group,and the rebleeding rate,incomplete uterine involution rate and hysterectomy rate in the observation group were lower than those in the control group(P<0.05).After treatment,PT,APTT and TT in the observation group were shorter than those in the control group,and the FIB level was higher than that in the control group(P<0.05).After treatment,RI of uterine artery blood flow in the observation group was greater than that in the control group,and PI was less than that in the control group(P<0.05).Conclusion Intrauterine balloon compression combined with leonurus heterophyllus injection can effectively control the amount of hemorrhage in patients with postpartum hemorrhage caused by uterine inertia,improve the success rate of hemostasis,and ameliorate the coagulation function indexes and uterine artery blood flow indexes.

关 键 词：宫腔球囊压迫 益母草注射液 产后宫缩乏力性出血 凝血功能指标 子宫动脉血流指标 

分 类 号：R271.45[医药卫生—中医妇科学]